Intentional Healing of Omaha

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INTENTIONAL HEALING OF OMAHA

Practice address

10850 Emmet St
Omaha, NE 68164-2911

Phone

(402) 915-1387

NPI assigned

Aug 15, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Elisha Suttles, PLMHPNPI 1205569936

Title

Founder

Phone

(402) 915-1387

Specialties & licenses 1

Addresses

Other names 1

• Intentional Healing Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elisha Suttles, PLMHP

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1205569936
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1265264642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 EMMET ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681642911",
            "telephone_number": "402-915-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 EMMET ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681642911",
            "telephone_number": "402-915-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL HEALING OF OMAHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "SUTTLES",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "402-915-1387",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PLMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intentional Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrity Lawn Kingz
• Integrity Supports & Services, LLC
• Intelliride, a Division of Transdev
• Intelliride, a Division of Transdev
• Intentional Healing Inc
• Internal Medicine Physicians P.C.
• International Caregaver LLC
• International Eyecare Center Inc
• International Eyecare Center Inc
• International Eyecare Center Inc

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.